Riverside Medical Center — Billing Profile & Reimbursement Data
NPI 1700874062 · Franklinton, LA · Critical Access Hospital
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Riverside Medical Center is a critical access hospital provider located in Franklinton, Louisiana. This profile covers 0 Medicare and 146 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Riverside Medical Center |
| Address | 1900 Main St |
| City | Franklinton |
| State | LA |
| ZIP | 70438 |
| Taxonomy | Critical Access Hospital |
| NPI Enumerated | October 11, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $9.3M |
| Medicare | $0 |
Medicaid: Total Revenue Breakdown by CPT/HCPCS Code
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Medicaid: Complete Services Breakdown
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
146 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 14,180 | $200 | $2.8M |
| 99283 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making. | 20,470 | $110 | $2.2M |
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 3,810 | $240 | $907K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 11,520 | $30 | $391.8K |
| 87804 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings. | 25,300 | $10 | $303.6K |
| 99282 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making. | 2,540 | $90 | $220.5K |
| 71045 | In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby… | 4,890 | $40 | $215.2K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 6,230 | $30 | $180.5K |
| 70450 | The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities. | 800 | $220 | $175.9K |
| 11042 | The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2. | 940 | $130 | $117.8K |
Showing 1–10 of 146
Medicaid: Competitive Analysis & Benchmarks
How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Louisiana median
146 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 118 | 270 | 9,980 | $110 | $2.6M |
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 121 | 240 | 4,030 | $130 | $2M |
| T1015 | Clinic visit/encounter, all-inclusive | 775 | 810 | 4,280 | $110 | $1.8M |
| 99283 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making. | 84 | 270 | 11,250 | $90 | $1.8M |
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 79 | 100 | 760 | $100 | $441.2K |
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 92 | 90 | 1,270 | $50 | $375.3K |
| 70450 | The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities. | 79 | 150 | 1,070 | $60 | $346.2K |
| 99282 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making. | 65 | 170 | 1,260 | $70 | $322.4K |
| G0378 | Hospital observation service, per hour | 34 | 80 | 580 | $210 | $270.6K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 47 | 130 | 2,800 | $30 | $258.7K |
Showing 1–10 of 146
Nearby Providers
Other providers in the same ZIP code as Riverside Medical Center, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Franklinton Association For Challenged Citizens, Inc | LA | Community/Behavioral Health Agency | $0 | $9.8M |
| Mom-4-a-day | LA | Local Education Agency (LEA) | $0 | $8.9M |
| Community Independent Livings, LLC | LA | Community/Behavioral Health Agency | $0 | $6.5M |
| Florida Parishes Resources For Independent Living, LLC | LA | Personal Care Attendant | $0 | $6.3M |
| Christopher Davis | LA | Family Nurse Practitioner | $274.5K | $0 |
| Jeffery Reeves | LA | Physical Therapist | $180.1K | $0 |
| Kelvin Mccain | LA | Physical Therapist | $98.7K | $0 |
| Creel's Family Pharmacy LLC | LA | Pharmacy | $5.2K | $0 |
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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